CPT 99155 pays $81.50 in a non-facility setting and $81.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $75.53 in Wisconsin to $110.28 in Alaska, a 46% spread.
National non-facility rate
$81.50
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 46% spread
53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.
| State | Rate compared visually | Non-facility | Facility |
|---|---|---|---|
| Alaska | $110.28 | $110.28 | |
| Florida | $89.12 | $89.12 | |
| Illinois | $88.68 | $88.68 | |
| New York | $88.55 | $88.55 | |
| District of Columbia | $87.61 | $87.61 | |
| New Jersey | $86.69 | $86.69 | |
| Connecticut | $85.22 | $85.22 | |
| Michigan | $84.15 | $84.15 | |
| West Virginia | $83.64 | $83.64 | |
| Maryland | $83.37 | $83.37 | |
| Massachusetts | $83.29 | $83.29 | |
| Washington | $83.21 | $83.21 | |
| Georgia | $82.71 | $82.71 | |
| Pennsylvania | $82.42 | $82.42 | |
| New Mexico | $82.28 | $82.28 | |
| Rhode Island | $82.17 | $82.17 | |
| California | $81.94 | $81.94 | |
| Puerto Rico | $81.49 | $81.49 | |
| Virgin Islands | $81.49 | $81.49 | |
| Montana | $81.48 | $81.48 | |
| Colorado | $81.15 | $81.15 | |
| Texas | $81.12 | $81.12 | |
| Louisiana | $81.00 | $81.00 | |
| New Hampshire | $80.91 | $80.91 | |
| Delaware | $80.89 | $80.89 | |
| Ohio | $80.69 | $80.69 | |
| Missouri | $80.55 | $80.55 | |
| Oregon | $80.33 | $80.33 | |
| Nevada | $80.17 | $80.17 | |
| Utah | $80.08 | $80.08 | |
| Arizona | $80.03 | $80.03 | |
| Kentucky | $79.70 | $79.70 | |
| South Carolina | $79.53 | $79.53 | |
| Hawaii | $79.50 | $79.50 | |
| Wyoming | $79.41 | $79.41 | |
| Virginia | $78.97 | $78.97 | |
| Oklahoma | $78.64 | $78.64 | |
| Maine | $78.06 | $78.06 | |
| Mississippi | $78.01 | $78.01 | |
| North Carolina | $77.93 | $77.93 | |
| Vermont | $77.44 | $77.44 | |
| Tennessee | $76.87 | $76.87 | |
| Alabama | $76.77 | $76.77 | |
| North Dakota | $76.74 | $76.74 | |
| Indiana | $76.65 | $76.65 | |
| Kansas | $76.56 | $76.56 | |
| Idaho | $76.47 | $76.47 | |
| Arkansas | $76.20 | $76.20 | |
| South Dakota | $76.18 | $76.18 | |
| Minnesota | $76.15 | $76.15 | |
| Iowa | $75.81 | $75.81 | |
| Nebraska | $75.74 | $75.74 | |
| Wisconsin | $75.53 | $75.53 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates